| The higher the educational level of the first-time mother, the lower the fetal and post-neonatal but not the neonatal mortality in Belgium (Flanders). | |
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MedLine Citation:
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PMID: 19740587 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess, in a homogenous population of primiparous women, how fetal and infant (=first year of life) mortality varied by the mothers' level of education. STUDY DESIGN: We conducted an observational study in Flanders (Northern Belgium) involving 170,948 primiparous women who delivered in Flanders during the period 1999-2006, and their 174,495 babies. We linked the maternal education (3 levels) with a series of obstetrical and perinatal events, with special emphasis on fetal and infant death. A logistic regression analysis was performed to adjust for confounders. RESULTS: The incidence of fetal (0.21% - high level of education; 0.35% - medium level; 0.84% - low level) and infant mortality (0.32%; 0.41%; 0.70%, respectively), followed an inverse maternal educational gradient: higher with a lower level of education. However, neonatal death (0-27 days) was independent of the educational level of the mother. The age of the woman at delivery, the use of assisted reproductive technology and the incidence of twin birth increased while the rates of preterm birth (7.7% - high level; 8.9% - medium level; 10% - low level) and low birth weight (7.2%; 9.5%; 11.8%, respectively) decreased with the mother's educational level. CONCLUSION: Perinatal and obstetrical outcome differ according to the level of the education of the mother, which is a determinant of the incidence of fetal and post-neonatal death but not of early and late neonatal death (0-27 days). |
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Authors:
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Hendrik Cammu; Guy Martens; Georges Van Maele; Jean-Jacques Amy |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of obstetrics, gynecology, and reproductive biology Volume: 148 ISSN: 1872-7654 ISO Abbreviation: Eur. J. Obstet. Gynecol. Reprod. Biol. Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2009-12-16 Completed Date: 2010-02-18 Revised Date: 2010-07-22 |
Medline Journal Info:
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Nlm Unique ID: 0375672 Medline TA: Eur J Obstet Gynecol Reprod Biol Country: Ireland |
Other Details:
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Languages: eng Pagination: 13-6 Citation Subset: IM |
Affiliation:
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SPE: Study Centre for Perinatal Epidemiology, Brussels, Belgium. hendrik.cammu@uzbrussel.be |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Belgium / epidemiology Educational Status* Female Fetal Mortality Humans Infant Mortality* Infant, Low Birth Weight Infant, Newborn Maternal Age Mothers / education* Perinatal Mortality Pregnancy Pregnancy Outcome* Pregnancy, Multiple Premature Birth / epidemiology Reproductive Techniques, Assisted Twins |
| Comments/Corrections | |
Comment In:
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Eur J Obstet Gynecol Reprod Biol. 2010 Aug;151(2):227
[PMID:
20371147
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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